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Home My WebLink About3600 AMUR MAPLE DRBeKE ENCROACHMENT PERMIT id CITY OF BAKERSFIELD o PUBLIC WORKS DEPARTMENT 4� 1501 TRUXTUN AVE BAKERSFIELD CA 93301 LIFO (661) 326-3724 TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD CALIFORNIA: Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersigned applies for a permit to place, erect, use and maintain an encroachment on public property or right of way as therein defined. Application Number . . . . . 14-30000009 Data 2/07/14 Property Address 3600 AMUR NAPLB DR Application type description PW - ENCROACF04ENT PERMIT Owner Contractor JACKSON JOYCE OWNER 3600 AMUR MAPLE DR BAKERSFIELD CA 93311 ---------------------------------------------------------------------------- Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code.. 1426451 Permit Fee . . . . 200.00 Issue Date . . . . 2/07/14 Valuation . . . . 0 oty unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT 208.00 Special Notes and Comments Existing 4' plastic fence at hack of sidewalk. Contact Joyce Jackson 661-664-5804 __________________ Fee summary Charged PaidCredited --- _--- Due _ -------- _________________ Permit Fee Total __________ 208.00 ___ 208.00 .00 .00 Grand Total 208.00 208.00 .00 .00 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time, Signat re of Applic t (Owner/Agent) Print Narhe I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACTS STATED IN THE FOREGOING APPLICATION AND FIND THAT THE MAINTENANCE OF SAID ENCROACHMENT (1) WILL (NOT) SUBSTANTIALLY INTERFERE WITH THE USE OF THE PLACE WHERE THE SAME IS TO BE LOCATED AND (2) WILL (NOT) CoN ;LITE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE NIT (DENIED) Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back ENCROACHMENT PERMIT APPLICATION FORM CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 (661)326-3724 Fax: (661) 852-2012 LOCATION OF ENCROACHMENT(Address required where available): If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. FULL NAME OF APPLICANT )c,t.fc a i lit P (<SO N COMPLETE ADDRESS: ,3 (� C)Q ft A u r M ct nL e Q1%PHONE: FAX: CELL: PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised planter, PERIOD OF TIME FOR ENCROACHMEN : INDEFINITE r OTHER: � lrcle) CONTACT PERSON J 0t,GE- :) P C kS O 0 PHONE: 641 / 6 ,/— 5 1;' 0 V Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold harmless the City, its officers agents and employees against any and all liability, claims, actions, causes of action or demands, whatsoever against them, or any of them, before administrative, quasi-judicial, orjudicial tribunals of any kind whatsoever, arising out of, connected with, or caused by applicant's placement, erection, use (by applicant or any other person or entity) or maintenance of said encroachment. The applicant further agrees to maintain the aforesaid encroachment during the life of said encroachment or until. such time that this permit is revoked. Applicant further agrees that upon the expiration of the permit for which this application is made, if granted or upon the revocation thereof by the City Engineer, applicant will at his own cost and expense remove the same from the public Property or right of way where the same is located, and restore said public property or right of way to the condition as nearly as that in which it was before the placing, erection, maintenance or existence of said encroachment. Applicant further agrees to obtain and keep all liability insurance required by the City Engineer in full force and effect for however long the encroachment remains. Applicant shall famish the City Risk Manager with a Certificate of Insurance evidencing sufficient coverage for bodily injury or property damage liability or both and required endorsements evidencing the insurance required. The type(s) and amount(s) of insurance coverage required are: Residences: Homeowners General Liability coverage in an amount of at least $300,000.00 Commercial: Commercial Liability coverage. in an amount of at least$ 1,000,000.00 The Commercial Liability policy must identify City and City's mayor, council, officers, agents, employees, and designated volunteers as Additional Insureds. Encroachment Permit Fee: $208.00 S,TERMITSTNCROACMEnc.nhra nm N.it Req Form.pOC Sept 2013 s a K E R S F t E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 83301 (661)326-3724 TO WHOM IT MAY CONCERN: We the under signed,. have no objection to the construction of a fence beside the sidewalk within tele public nght-o(-way. (fitrcel or pr000scd Cncreechmenl� or 'Addrm of proposed encroeehnent) 1:) Name: Address: By: ( wners Name) 2.) Name: Address:. .3JName: M-cx.nr/ i I-d"Ic9ut, Address: JS/z/ mu(. cpm .� T 4; Name: EL16.,1_. Address: 3; n:,�..,,r Mns.-- ry '�R (.5)/Name: r\r�,(h�rAni?.irv,,u .} Name: /Address Date: \/ � i / L�--- i Date: / 131't-t— Date: 1 7� i - Date: —3l -11 Date: CSE Insurance Group ImT—SInm 1949 P.O. Bac 8041, 19ainm CraeA CA 94596-804/ Insured Copy Amended Homeowners H03 Policy CSE Safeguard Insurance Company PH0NE:800-282-6848 ' www.esetnsaranms m Effective 02103120`14, this amended declaration supersedes any previous declaration bearing the same number for this policy tem. Reason for amendment described under Description of Amendments. Policy # Policy Tem (begins and ends at 12:01 a.m. Standard Time) Notice Date CAH1012164 From 04/13/2013 To 04/13/2014 002 02/03/2014 Named Insured and Address Agent PEREZCHICA@MSN.COMand S INS SVCS JACKSON, JOYCE Address Code 46300-06695 3600 AMUR MAPLE DR 100 W COLUMBUS ST #301 BAKERSFIELD, CA 93311-261 8 BAKERSFIELD, CA 93301 Phone 661-863-6800 Fax 661-863-6806 The premises covered by this 3600 AMUR MAPLE DR policy is located at BAKERSFIELD, CA 93311-2618 Coverage at the above described location is provided only where a limit of liability is Shown or a premium is. stated. Section 1 Loss Deductible .$1,000 Section I Coverage Limit of Liability Premium A - Dwelling $195,777 $769.00 B- Other Structures $19,578 Included C - Personal Property $97,889 Included D- Loss of Use $39,155 Included Section II Coverage-.,_ - [,r $25.00 E - Personal Liability - $300,000 F - Medical Payments to Others $1,000 Included $0.00 Total Basic Premium $794.00 The limit of liability for this structure (Coverage A) is based on an estimate of the cost to rebuild your home, including an about home. approximate cost for labor and materials in your area, and specific information that you have provided your Additional Premiums -See Additional Coverages Discounts and Other Credits Deductible Credit ` V08.00 CR 420.00 CR Protective Devices Premium Credit - - - $63.00 CR Multi -Policy Credit $32.00 CR Tile Roof Credit Total Additional Premium/Credits $223.00 CR Total Fees $0.00 Seismic Safety Commission Assessment (SSC) $0.08 Total Annual Premium $571.08 nird Partv Billed Continued on next page. Vcnc GC-{lGk ct.FtiJIGES, 1 ii'fSURNdJG- �S ST., SUIT;.30 1009JFST COLO"fwU yz3C1 BAhkPSF,LLD.CR . i-oC3-GEG0 B 3 K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager qf FROM: Bob Wilson, Supervisor II, Subdivisions DATE: February 12, 2014 SUBJECT: Encroachment Permit Application for: 3600 Amur Maple Or Name of Applicant: Joyce Jackson Description of Encroachment: Existing 4' plastic fence at back of sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. Amur Maple Dr.doc TO: FROM: DATE: SUBJECT: B A 1-�: E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM John Ussery, Engineer III Bob Wilson, Supervisor II, Subdivisions February 12, 2014 Encroachment Permit Application for: 3600 Amur Maple Drive Name of Applicant: Joyce Jackson Description of Encroachment: Existing 4' plastic fence at back of sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCR0ACH\TRAFF1W600 Amur Mapk DCCoc